Lacy,Jr., Edward James
Lacy,Jr., Edward James is an individual health care provider with primary practice located at 2550 Abarr Dr , Loveland CO 80538-3156. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lacy,Jr., Edward James can be contacted via phone (970) 667-2372.Contact Information
Primary practice address
2550 Abarr Dr
Loveland CO 80538-3156
Phone: (970) 667-2372
Fax: (970) 635-9737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5899 | Colorado |
Profile Details
| NPI number | 1548265192 |
|---|---|
| LBN Legal business name | Lacy,Jr., Edward James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548265192 | NPPES |
| Colorado | MEDICAID | 02589901 |
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